| NPI | 1831366178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS L CRATIN President 630-655-3522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019016285) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |